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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN

Albert Lea, MN · CCN 240043 · Rates published

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

6,585 distinct procedures filed
317 distinct payers
7,746,307 rate rows
2026-03-31 last MRF observed
Data quality

3,013,471 of 7,746,307 rate rows are consumer-grade (38.9%)

4,732,836 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 4,731,245
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,460
exceeds 10× this hospital's gross charge — excluded from medians 91
placeholder amount (≤ $0.02) — excluded from medians 29
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/411404075_mayo-clinic-health-system-albert-lea-and-austin_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/for-patients-and-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint f244f5b887cada53… · 4,712,626,908 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 297 $255.84 $161,500.00 $153,425.00 nat. median
$432
outlier · 354.7×
6331
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 27 $1,776.84 $124,203.21 $124,203.21 nat. median
$2,190
outlier · 56.7×
J7330
HCPCS 		Graft Cartilage Membrane Collagen Sterile Maci 3x5cm 289 $25,236.64 $121,330.00 $115,263.50 nat. median
$75,037
1.5× median
2304
APR_DRG 		Major Small Bowel Procedures 27 $45,835.35 $111,707.97 $111,707.97 nat. median
$40,389
outlier · 2.8×
2301
APR_DRG 		Major Small Bowel Procedures 27 $19,147.23 $106,122.59 $106,122.59 nat. median
$9,745
outlier · 10.9×
2311
APR_DRG 		Major Large Bowel Procedures 27 $18,712.66 $104,183.52 $104,183.52 nat. median
$10,974
outlier · 9.5×
7501
APR_DRG 		Schizophrenia And Other Severe Psychotic Disorders 27 $13,146.62 $92,771.22 $92,771.22 nat. median
$4,840
outlier · 19.2×
7601
APR_DRG 		Other Mental Health Conditions And Disorders 27 $9,560.19 $92,771.22 $92,771.22 nat. median
$3,992
outlier · 23.2×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 297 $216.90 $81,733.40 $77,646.73 nat. median
$737
outlier · 105.4×
501
APR_DRG 		Non-bacterial Infections Of Nervous System Except Viral Meningitis 27 $11,949.50 $75,226.28 $75,226.28 nat. median
$6,058
outlier · 12.4×
3253
APR_DRG 		Non-elective Or Complex Knee Joint Replacement 27 $30,440.82 $72,730.14 $72,730.14 nat. median
$22,233
outlier · 3.3×
2821
APR_DRG 		Disorders Of Pancreas Except Malignancy 27 $5,271.63 $71,913.12 $71,913.12 nat. median
$4,593
outlier · 15.7×
7754
APR_DRG 		Alcohol Abuse And Dependence 27 $22,662.32 $70,738.08 $70,738.08 nat. median
$19,303
outlier · 3.7×
491
APR_DRG 		Bacterial And Tuberculous Infections Of Nervous System 27 $12,959.76 $69,916.45 $69,916.45 nat. median
$8,820
outlier · 7.9×
2804
APR_DRG 		Alcoholic Liver Disease 27 $22,587.19 $69,300.34 $69,300.34 nat. median
$20,753
outlier · 3.3×
7531
APR_DRG 		Bipolar Disorders 27 $10,158.51 $68,956.51 $68,956.51 nat. median
$3,572
outlier · 19.3×
7511
APR_DRG 		Depressive Disorders 27 $9,065.03 $67,234.11 $67,234.11 nat. median
$3,224
outlier · 20.9×
7571
APR_DRG 		Organic Mental Health Conditions And Disturbances 27 $11,017.30 $67,234.11 $67,234.11 nat. median
$4,291
outlier · 15.7×
7751
APR_DRG 		Alcohol Abuse And Dependence 27 $3,860.31 $67,201.19 $67,201.19 nat. median
$3,483
outlier · 19.3×
6402
APR_DRG 		Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 27 $1,436.71 $66,433.18 $66,433.18 nat. median
$1,502
outlier · 44.2×
1424
APR_DRG 		Interstitial And Alveolar Lung Diseases 27 $18,090.26 $65,902.30 $65,902.30 nat. median
$16,065
outlier · 4.1×
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 289 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 289 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
7204
APR_DRG 		Septicemia And Disseminated Infections 27 $23,018.71 $61,516.90 $61,516.90 nat. median
$20,530
outlier · 3.0×
5402
APR_DRG 		Cesarean Section Without Sterilization 27 $7,258.65 $60,844.29 $60,844.29 nat. median
$6,656
outlier · 9.1×
454
APR_DRG 		Cva And Precerebral Occlusion With Infarction 27 $19,887.40 $60,639.24 $60,639.24 nat. median
$19,808
outlier · 3.1×
2631
APR_DRG 		Cholecystectomy 27 $10,933.15 $60,284.15 $60,284.15 nat. median
$8,900
outlier · 6.8×
4264
APR_DRG 		Non-hypovolemic Sodium Disorders 27 $16,289.05 $59,738.49 $59,738.49 nat. median
$13,697
outlier · 4.4×
7201
APR_DRG 		Septicemia And Disseminated Infections 27 $8,337.94 $58,441.07 $58,441.07 nat. median
$5,161
outlier · 11.3×
3511
APR_DRG 		Other Musculoskeletal System And Connective Tissue Diagnoses 27 $5,559.98 $57,812.99 $57,812.99 nat. median
$4,539
outlier · 12.7×
451
APR_DRG 		Cva And Precerebral Occlusion With Infarction 27 $7,677.98 $57,607.29 $57,607.29 nat. median
$6,540
outlier · 8.8×
7734
APR_DRG 		Opioid Abuse And Dependence 27 $17,366.33 $57,382.67 $57,382.67 nat. median
$14,166
outlier · 4.1×
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 297 $217.09 $60,346.80 $57,329.46 nat. median
$418
outlier · 137.2×
1944
APR_DRG 		Heart Failure 27 $20,620.48 $56,880.32 $56,880.32 nat. median
$17,359
outlier · 3.3×
2303
APR_DRG 		Major Small Bowel Procedures 27 $28,151.23 $56,435.72 $56,435.72 nat. median
$20,819
outlier · 2.7×
6261
APR_DRG 		Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 27 $1,394.05 $55,250.26 $55,250.26 nat. median
$1,631
outlier · 33.9×
2411
APR_DRG 		Peptic Ulcer And Gastritis 27 $6,439.27 $55,097.74 $55,097.74 nat. median
$5,298
outlier · 10.4×
7103
APR_DRG 		Infectious And Parasitic Diseases Including HIV With O.r. Procedure 27 $27,280.08 $55,055.72 $55,055.72 nat. median
$22,255
outlier · 2.5×
5471
APR_DRG 		Antepartum With O.r. Procedure 27 $4,653.29 $54,658.91 $54,658.91 nat. median
$4,741
outlier · 11.5×
5391
APR_DRG 		Cesarean Section With Sterilization 27 $7,236.31 $52,703.38 $52,703.38 nat. median
$4,821
outlier · 10.9×
4681
APR_DRG 		Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 27 $4,636.03 $52,110.96 $52,110.96 nat. median
$4,323
outlier · 12.1×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $50,351.31 $55,386.44 $51,861.85 nat. median
$59,324
0.9× median
6391
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Significant Condition 27 $2,482.50 $51,224.43 $51,224.43 nat. median
$3,785
outlier · 13.5×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 298 $59.41 $52,256.13 $51,178.69 nat. median
$518
outlier · 98.8×
8614
APR_DRG 		Signs, Symptoms And Other Factors Influencing Health Status 27 $14,541.65 $50,843.54 $50,843.54 nat. median
$14,022
outlier · 3.6×
6341
APR_DRG 		Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 27 $5,220.86 $50,726.10 $50,726.10 nat. median
$5,948
outlier · 8.5×
5481
APR_DRG 		Postpartum And Post Abortion Diagnosis With O.r. Procedure 27 $3,605.46 $50,396.78 $50,396.78 nat. median
$3,417
outlier · 14.7×
1344
APR_DRG 		Pulmonary Embolism 27 $17,872.97 $50,191.07 $50,191.07 nat. median
$15,873
outlier · 3.2×
33264
CPT 		Pr Rmvl&rplc Icd Gen Multi Lead 298 $323.95 $51,181.08 $50,125.80 nat. median
$31,574
1.6× median
4694
APR_DRG 		Acute Kidney Injury 27 $20,041.74 $49,475.08 $49,475.08 nat. median
$18,428
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 6,585 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 378 297 $161,500.00 $142,120.00 $255.84 $161,500.00 $153,425.00 2026-03-31
6331 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 30 27 — — $1,776.84 $124,203.21 $124,203.21 2026-03-31
J7330 HCPCS Graft Cartilage Membrane Collagen Sterile Maci 3x5cm 367 289 $121,330.00 $106,770.40 $25,236.64 $121,330.00 $115,263.50 2026-03-31
2304 APR_DRG Major Small Bowel Procedures 30 27 — — $45,835.35 $111,707.97 $111,707.97 2026-03-31
2301 APR_DRG Major Small Bowel Procedures 30 27 — — $19,147.23 $106,122.59 $106,122.59 2026-03-31
2311 APR_DRG Major Large Bowel Procedures 30 27 — — $18,712.66 $104,183.52 $104,183.52 2026-03-31
7501 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 30 27 — — $13,146.62 $92,771.22 $92,771.22 2026-03-31
7601 APR_DRG Other Mental Health Conditions And Disorders 30 27 — — $9,560.19 $92,771.22 $92,771.22 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 378 297 $81,733.40 $71,925.39 $216.90 $81,733.40 $77,646.73 2026-03-31
501 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 30 27 — — $11,949.50 $75,226.28 $75,226.28 2026-03-31
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 30 27 — — $30,440.82 $72,730.14 $72,730.14 2026-03-31
2821 APR_DRG Disorders Of Pancreas Except Malignancy 30 27 — — $5,271.63 $71,913.12 $71,913.12 2026-03-31
7754 APR_DRG Alcohol Abuse And Dependence 30 27 — — $22,662.32 $70,738.08 $70,738.08 2026-03-31
491 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 30 27 — — $12,959.76 $69,916.45 $69,916.45 2026-03-31
2804 APR_DRG Alcoholic Liver Disease 30 27 — — $22,587.19 $69,300.34 $69,300.34 2026-03-31
7531 APR_DRG Bipolar Disorders 30 27 — — $10,158.51 $68,956.51 $68,956.51 2026-03-31
7511 APR_DRG Depressive Disorders 31 27 — — $9,065.03 $67,234.11 $67,234.11 2026-03-31
7571 APR_DRG Organic Mental Health Conditions And Disturbances 30 27 — — $11,017.30 $67,234.11 $67,234.11 2026-03-31
7751 APR_DRG Alcohol Abuse And Dependence 30 27 — — $3,860.31 $67,201.19 $67,201.19 2026-03-31
6402 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 30 27 — — $1,436.71 $66,433.18 $66,433.18 2026-03-31
1424 APR_DRG Interstitial And Alveolar Lung Diseases 30 27 — — $18,090.26 $65,902.30 $65,902.30 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 367 289 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 367 289 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
7204 APR_DRG Septicemia And Disseminated Infections 31 27 — — $23,018.71 $61,516.90 $61,516.90 2026-03-31
5402 APR_DRG Cesarean Section Without Sterilization 30 27 — — $7,258.65 $60,844.29 $60,844.29 2026-03-31
454 APR_DRG Cva And Precerebral Occlusion With Infarction 30 27 — — $19,887.40 $60,639.24 $60,639.24 2026-03-31
2631 APR_DRG Cholecystectomy 30 27 — — $10,933.15 $60,284.15 $60,284.15 2026-03-31
4264 APR_DRG Non-hypovolemic Sodium Disorders 30 27 — — $16,289.05 $59,738.49 $59,738.49 2026-03-31
7201 APR_DRG Septicemia And Disseminated Infections 30 27 — — $8,337.94 $58,441.07 $58,441.07 2026-03-31
3511 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 30 27 — — $5,559.98 $57,812.99 $57,812.99 2026-03-31
451 APR_DRG Cva And Precerebral Occlusion With Infarction 30 27 — — $7,677.98 $57,607.29 $57,607.29 2026-03-31
7734 APR_DRG Opioid Abuse And Dependence 30 27 — — $17,366.33 $57,382.67 $57,382.67 2026-03-31
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 378 297 $60,346.80 $53,105.18 $217.09 $60,346.80 $57,329.46 2026-03-31
1944 APR_DRG Heart Failure 30 27 — — $20,620.48 $56,880.32 $56,880.32 2026-03-31
2303 APR_DRG Major Small Bowel Procedures 30 27 — — $28,151.23 $56,435.72 $56,435.72 2026-03-31
6261 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 30 27 — — $1,394.05 $55,250.26 $55,250.26 2026-03-31
2411 APR_DRG Peptic Ulcer And Gastritis 30 27 — — $6,439.27 $55,097.74 $55,097.74 2026-03-31
7103 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 30 27 — — $27,280.08 $55,055.72 $55,055.72 2026-03-31
5471 APR_DRG Antepartum With O.r. Procedure 30 27 — — $4,653.29 $54,658.91 $54,658.91 2026-03-31
5391 APR_DRG Cesarean Section With Sterilization 31 27 — — $7,236.31 $52,703.38 $52,703.38 2026-03-31
4681 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 30 27 — — $4,636.03 $52,110.96 $52,110.96 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 15 — — $50,351.31 $55,386.44 $51,861.85 2026-03-31
6391 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 30 27 — — $2,482.50 $51,224.43 $51,224.43 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 380 298 $53,872.30 $47,407.62 $59.41 $52,256.13 $51,178.69 2026-03-31
8614 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 30 27 — — $14,541.65 $50,843.54 $50,843.54 2026-03-31
6341 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 30 27 — — $5,220.86 $50,726.10 $50,726.10 2026-03-31
5481 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 30 27 — — $3,605.46 $50,396.78 $50,396.78 2026-03-31
1344 APR_DRG Pulmonary Embolism 30 27 — — $17,872.97 $50,191.07 $50,191.07 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 380 298 $52,764.00 $46,432.32 $323.95 $51,181.08 $50,125.80 2026-03-31
4694 APR_DRG Acute Kidney Injury 30 27 — — $20,041.74 $49,475.08 $49,475.08 2026-03-31
5011 APR_DRG Male Reproductive System Diagnoses Except Malignancy 30 27 — — $4,605.57 $49,222.91 $49,222.91 2026-03-31
3831 APR_DRG Cellulitis And Other Skin Infections 30 27 — — $4,395.39 $48,918.48 $48,918.48 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 12 — — $46,582.21 $51,240.43 $48,911.32 2026-03-31
2273 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 30 27 — — $19,684.34 $48,839.94 $48,839.94 2026-03-31
6361 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 30 27 — — $5,117.30 $48,462.61 $48,462.61 2026-03-31
4204 APR_DRG Diabetes 30 27 — — $16,816.01 $48,404.00 $48,404.00 2026-03-31
8611 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 30 27 — — $4,196.38 $48,301.37 $48,301.37 2026-03-31
8171 APR_DRG Intentional Self-harm And Attempted Suicide 30 27 — — $5,454.39 $47,763.81 $47,763.81 2026-03-31
1341 APR_DRG Pulmonary Embolism 30 27 — — $5,584.35 $47,681.53 $47,681.53 2026-03-31
8131 APR_DRG Other Complications Of Treatment 30 27 — — $6,993.64 $47,281.09 $47,281.09 2026-03-31
2441 APR_DRG Diverticulitis And Diverticulosis 30 27 — — $5,118.32 $47,223.50 $47,223.50 2026-03-31
5422 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c 30 27 — — $4,634.00 $46,846.25 $46,846.25 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 380 298 $49,159.00 $43,259.92 $723.02 $47,684.23 $46,701.05 2026-03-31
9523 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 30 27 — — $13,012.56 $46,131.90 $46,131.90 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 15 — — $44,709.93 $49,180.92 $46,051.23 2026-03-31
4201 APR_DRG Diabetes 30 27 — — $4,766.00 $45,983.81 $45,983.81 2026-03-31
581 APR_DRG Other Disorders Of Nervous System 30 27 — — $6,742.85 $45,821.99 $45,821.99 2026-03-31
2491 APR_DRG Other Gastroenteritis, Nausea And Vomiting 30 27 — — $4,594.40 $45,457.21 $45,457.21 2026-03-31
1381 APR_DRG Bronchiolitis And Rsv Pneumonia 30 27 — — $2,834.82 $44,527.44 $44,527.44 2026-03-31
7701 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 30 27 — — $2,530.22 $44,280.60 $44,280.60 2026-03-31
7561 APR_DRG Acute Anxiety And Stress Syndromes 30 27 — — $6,501.55 $43,120.45 $43,120.45 2026-03-31
4233 APR_DRG Inborn Errors Of Metabolism 30 27 — — $11,400.20 $43,117.84 $43,117.84 2026-03-31
4664 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 30 27 — — $17,392.72 $42,040.97 $42,040.97 2026-03-31
8124 APR_DRG Poisoning Of Medicinal Agents 30 27 — — $16,503.29 $41,636.79 $41,636.79 2026-03-31
0620T CPT Pr Endovasc Venous Arterialization Tibial/peroneal 378 297 $43,807.00 $38,550.16 $9,111.86 $60,923.82 $41,616.65 2026-03-31
2343 APR_DRG Appendectomy Without Complex Principal Diagnosis 30 27 — — $15,723.51 $41,293.23 $41,293.23 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 12 — — $39,245.82 $43,170.40 $41,208.11 2026-03-31
7532 APR_DRG Bipolar Disorders 31 27 — — $13,146.62 $40,987.21 $40,987.21 2026-03-31
1394 APR_DRG Other Pneumonia 30 27 — — $14,680.75 $40,513.73 $40,513.73 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 378 297 $42,521.00 $37,418.48 $731.00 $41,245.37 $40,394.95 2026-03-31
4241 APR_DRG Other Endocrine Disorders 30 27 — — $10,640.73 $40,328.40 $40,328.40 2026-03-31
7513 APR_DRG Depressive Disorders 30 27 — — $16,617.00 $40,167.29 $40,167.29 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 15 — — $38,871.37 $42,758.51 $40,037.51 2026-03-31
8121 APR_DRG Poisoning Of Medicinal Agents 30 27 — — $5,468.60 $39,554.96 $39,554.96 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 380 298 $41,602.00 $36,609.76 $447.78 $43,416.18 $39,521.90 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 741 297 $41,487.50 $36,509.00 $8,629.40 $42,870.00 $39,413.13 2026-03-31
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 380 298 $41,438.90 $36,466.23 $227.28 $40,195.73 $39,366.96 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 12 — — $36,977.62 $40,675.38 $38,826.50 2026-03-31
1802 APR_DRG Other Peripheral Vascular And Circulatory Procedures 30 27 — — $15,672.74 $38,758.42 $38,758.42 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 380 298 $40,758.00 $35,867.04 $718.24 $39,535.26 $38,720.10 2026-03-31
7761 APR_DRG Other Drug Abuse And Dependence 30 27 — — $3,327.26 $38,638.90 $38,638.90 2026-03-31
2312 APR_DRG Major Large Bowel Procedures 30 27 — — $18,712.66 $38,539.00 $38,539.00 2026-03-31
2011 APR_DRG Cardiac Arrhythmia And Conduction Disorders 30 27 — — $4,457.33 $38,441.43 $38,441.43 2026-03-31
2471 APR_DRG Intestinal Obstruction 30 27 — — $6,063.59 $38,422.23 $38,422.23 2026-03-31
2283 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 30 27 — — $15,968.20 $37,482.35 $37,482.35 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 380 298 $39,418.00 $34,687.84 $763.57 $38,235.46 $37,447.10 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 15 — — $36,246.34 $39,870.97 $37,333.73 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 15 — — $35,879.56 $39,467.52 $36,955.95 2026-03-31
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 756 297 $38,385.00 $33,778.80 $7,984.08 $38,385.00 $36,465.75 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 378 297 $38,250.00 $33,660.00 $571.47 $37,102.50 $36,337.50 2026-03-31
4631 APR_DRG Kidney And Urinary Tract Infections 30 27 — — $6,185.43 $36,181.46 $36,181.46 2026-03-31
37231 CPT Pr Revasc Tib/pero Stnt&arth&angp 369 290 $37,435.00 $32,942.80 $483.17 $43,050.25 $35,563.25 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 378 297 $37,420.00 $32,929.60 $7,783.36 $37,420.00 $35,549.00 2026-03-31
J9042 HCPCS Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted) 380 298 $37,123.70 $32,668.86 $258.64 $36,009.99 $35,267.52 2026-03-31
1401 APR_DRG Chronic Obstructive Pulmonary Disease 30 27 — — $5,404.64 $34,900.63 $34,900.63 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 378 297 $36,262.00 $31,910.56 $7,542.50 $36,262.00 $34,448.90 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 368 290 $36,105.00 $31,772.40 $523.61 $36,105.00 $34,299.75 2026-03-31
2242 APR_DRG Peritoneal Adhesiolysis 30 27 — — $16,188.53 $34,052.55 $34,052.55 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 18 15 — — $32,970.65 $36,267.72 $33,959.77 2026-03-31
5611 APR_DRG Postpartum And Post Abortion Diagnoses Without Procedure 30 27 — — $2,423.61 $33,767.90 $33,767.90 2026-03-31
791 MS_DRG Prematurity With Major Problems 15 12 — — $32,121.99 $35,334.19 $33,728.09 2026-03-31
5311 APR_DRG Female Reproductive System Infections 30 27 — — $4,872.60 $33,611.57 $33,611.57 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 380 298 $35,149.00 $30,931.12 $312.27 $34,094.53 $33,391.55 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 378 297 $34,619.50 $30,465.16 $243.71 $34,619.50 $32,888.53 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 380 298 $34,517.00 $30,374.96 $300.84 $33,481.49 $32,791.15 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 378 297 $34,446.60 $30,313.01 $32.91 $34,446.60 $32,724.27 2026-03-31
5412 APR_DRG Vaginal Delivery With Sterilization And/or D&c 30 27 — — $6,499.18 $32,387.02 $32,387.02 2026-03-31
6943 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 30 27 — — $11,765.72 $32,074.94 $32,074.94 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 380 298 $33,760.00 $29,708.80 $633.43 $36,153.14 $32,072.00 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 378 297 $33,689.90 $29,647.11 $31.58 $33,689.90 $32,005.41 2026-03-31
2222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 30 27 — — $13,334.42 $31,858.41 $31,858.41 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 15 — — $30,436.17 $33,479.79 $31,349.26 2026-03-31
422 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 30 27 — — $8,712.61 $30,879.70 $30,879.70 2026-03-31
3172 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 30 27 — — $12,761.77 $30,847.95 $30,847.95 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 15 — — $29,572.93 $32,530.22 $30,460.12 2026-03-31
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 380 298 $32,012.50 $28,171.00 $29.29 $31,052.13 $30,411.88 2026-03-31
453 APR_DRG Cva And Precerebral Occlusion With Infarction 30 27 — — $12,683.58 $30,354.26 $30,354.26 2026-03-31
36836 CPT Pr Perq Av Fistula Creation Uxtr Single Access 378 297 $31,860.00 $28,036.80 $6,626.88 $30,904.20 $30,267.00 2026-03-31
6401 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 31 27 — — $1,046.81 $30,028.60 $30,028.60 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 15 — — $29,149.36 $32,064.30 $30,023.84 2026-03-31
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 380 298 $31,586.60 $27,796.21 $55.57 $30,639.00 $30,007.27 2026-03-31
1333 APR_DRG Respiratory Failure 30 27 — — $10,886.44 $30,002.05 $30,002.05 2026-03-31
7102 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 30 27 — — $18,265.91 $29,915.44 $29,915.44 2026-03-31
5393 APR_DRG Cesarean Section With Sterilization 30 27 — — $12,656.18 $29,568.99 $29,568.99 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 15 — — $28,376.67 $31,214.34 $29,227.97 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 15 — — $28,286.89 $31,115.58 $29,135.50 2026-03-31
1991 APR_DRG Hypertension 30 27 — — $5,043.18 $29,077.91 $29,077.91 2026-03-31
J7189 HCPCS Coagulation Factor Viia Recomb 5 Mg (5,000 Mcg) Intravenous Solution 380 298 $30,550.00 $26,884.00 $2.66 $29,633.50 $29,022.50 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 15 — — $28,036.75 $30,840.43 $28,877.85 2026-03-31
6262 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 30 27 — — $2,305.83 $28,825.63 $28,825.63 2026-03-31
5812 APR_DRG Neonate, Transferred < 5 Days Old, Born Here 30 27 — — $668.41 $28,616.40 $28,616.40 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 15 — — $27,735.95 $30,509.55 $28,568.03 2026-03-31
2793 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 30 27 — — $10,826.54 $28,546.98 $28,546.98 2026-03-31
3413 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 30 27 — — $9,435.52 $28,483.47 $28,483.47 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 15 — — $27,283.24 $30,011.56 $28,101.74 2026-03-31
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 380 298 $29,459.10 $25,924.01 $127.45 $28,575.33 $27,986.15 2026-03-31
3202 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 30 27 — — $14,947.79 $27,819.45 $27,819.45 2026-03-31
37290 CPT Pr Revsc Evsc Tpvt Athrc Cplx 1 378 297 $29,241.00 $25,732.08 $6,082.13 $28,363.77 $27,778.95 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 378 297 $29,126.00 $25,630.88 $6,058.21 $29,126.00 $27,669.70 2026-03-31
2332 APR_DRG Appendectomy With Complex Principal Diagnosis 30 27 — — $13,201.41 $27,562.50 $27,562.50 2026-03-31
37227 CPT Pr Revasc Fem/pop W Stnt/athr/ang 369 290 $28,923.00 $25,452.24 $460.36 $33,261.45 $27,476.85 2026-03-31
37294 CPT Pr Rvsc Evsc Tpvt St Athr Cpx 1 378 297 $28,870.00 $25,405.60 $6,004.96 $28,003.90 $27,426.50 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 18 15 — — $26,609.52 $29,270.47 $27,407.81 2026-03-31
1943 APR_DRG Heart Failure 30 27 — — $10,834.66 $27,322.88 $27,322.88 2026-03-31
7203 APR_DRG Septicemia And Disseminated Infections 30 27 — — $12,641.96 $27,291.12 $27,291.12 2026-03-31
1353 APR_DRG Major Chest And Respiratory Trauma 30 27 — — $11,256.03 $27,138.11 $27,138.11 2026-03-31
1411 APR_DRG Asthma 30 27 — — $3,808.53 $27,086.73 $27,086.73 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 378 297 $28,385.00 $24,978.80 $5,904.08 $28,385.00 $26,965.75 2026-03-31
37277 CPT Pr Rvsc Evsc Fpvt St Athr Cpx 1 378 297 $28,299.00 $24,903.12 $5,886.19 $27,450.03 $26,884.05 2026-03-31
2483 APR_DRG Major Gastrointestinal And Peritoneal Infections 30 27 — — $10,434.62 $26,863.84 $26,863.84 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 378 297 $28,199.00 $24,815.12 $5,865.39 $28,199.00 $26,789.05 2026-03-31
7213 APR_DRG Post-operative, Post-traumatic, Other Device Infections 30 27 — — $12,935.39 $26,655.98 $26,655.98 2026-03-31
2803 APR_DRG Alcoholic Liver Disease 30 27 — — $11,451.98 $26,615.56 $26,615.56 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 15 — — $25,826.08 $28,408.69 $26,600.86 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 15 — — $25,798.46 $28,378.31 $26,572.41 2026-03-31
2632 APR_DRG Cholecystectomy 30 27 — — $14,007.59 $26,505.85 $26,505.85 2026-03-31
37273 CPT Pr Revsc Evsc Fpvt Athrc Cplx 1 378 297 $27,895.00 $24,547.60 $5,802.16 $27,058.15 $26,500.25 2026-03-31
2823 APR_DRG Disorders Of Pancreas Except Malignancy 30 27 — — $11,019.46 $26,393.26 $26,393.26 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 378 297 $27,620.10 $24,305.69 $39.41 $27,620.10 $26,239.10 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 380 298 $27,605.00 $24,292.40 $428.45 $26,776.85 $26,224.75 2026-03-31
3833 APR_DRG Cellulitis And Other Skin Infections 30 27 — — $9,077.11 $26,191.16 $26,191.16 2026-03-31
2543 APR_DRG Other Digestive System Diagnoses 30 27 — — $10,146.26 $26,179.62 $26,179.62 2026-03-31
2413 APR_DRG Peptic Ulcer And Gastritis 30 27 — — $11,592.10 $26,144.97 $26,144.97 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 12 — — $24,876.13 $27,363.74 $26,119.94 2026-03-31
3642 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 30 27 — — $9,965.53 $26,081.46 $26,081.46 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 18 15 — — $25,260.57 $27,786.63 $26,018.39 2026-03-31
5602 APR_DRG Vaginal Delivery 30 27 — — $3,999.41 $25,962.66 $25,962.66 2026-03-31
2293 APR_DRG Other Digestive System And Abdominal Procedures 30 27 — — $23,603.54 $25,872.15 $25,872.15 2026-03-31
92933 CPT Pr Ptca Intracor Stnt Sngl Mjr 380 298 $26,965.00 $23,729.20 $491.39 $26,156.05 $25,616.75 2026-03-31
3513 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 30 27 — — $9,483.25 $25,607.98 $25,607.98 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 378 297 $26,778.00 $23,564.64 $913.95 $25,974.66 $25,439.10 2026-03-31
J9228 HCPCS Ipilimumab 5 Mg/ml Intravenous Solution (wrapper) 745 298 $103,322.30 $90,923.62 $183.48 $100,222.63 $25,383.06 2026-03-31
3142 APR_DRG Foot And Toe Procedures 30 27 — — $17,988.72 $25,160.49 $25,160.49 2026-03-31
4693 APR_DRG Acute Kidney Injury 30 27 — — $10,433.60 $25,140.28 $25,140.28 2026-03-31
3492 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 30 27 — — $7,557.15 $25,099.86 $25,099.86 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 15 — — $24,250.78 $26,675.86 $24,978.30 2026-03-31
37230 CPT Pr Revasc Tib/pero W Stent&angiop 369 290 $26,178.00 $23,036.64 $446.85 $30,104.70 $24,869.10 2026-03-31
483 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 30 27 — — $10,297.55 $24,848.69 $24,848.69 2026-03-31
4263 APR_DRG Non-hypovolemic Sodium Disorders 30 27 — — $9,258.86 $24,701.45 $24,701.45 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 12 — — $23,323.07 $25,655.38 $24,489.22 2026-03-31
37226 CPT Pr Revasc Fem/pop W Stent/angplst 369 290 $25,778.00 $22,684.64 $331.77 $29,644.70 $24,489.10 2026-03-31
5663 APR_DRG Antepartum Without O.r. Procedure 30 27 — — $6,428.10 $24,453.17 $24,453.17 2026-03-31
37229 CPT Pr Revasc Tib/peroneal W Athrc 369 290 $25,713.00 $22,627.44 $449.07 $29,569.95 $24,427.35 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 12 — — $23,244.05 $25,568.46 $24,406.25 2026-03-31
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 378 297 $25,675.30 $22,594.26 $14.94 $25,675.30 $24,391.54 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 380 298 $25,557.80 $22,490.86 $21.31 $24,791.07 $24,279.91 2026-03-31
570 MS_DRG Skin Debridement With Mcc 18 15 — — $23,544.06 $25,898.47 $24,250.38 2026-03-31
37298 CPT Pr Revsc Evsc Imvt Angio Cplx 1 378 297 $25,473.00 $22,416.24 $5,132.30 $24,708.81 $24,199.35 2026-03-31
3442 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 30 27 — — $8,750.17 $24,158.69 $24,158.69 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 18 15 — — $23,382.16 $25,720.38 $24,083.62 2026-03-31
5401 APR_DRG Cesarean Section Without Sterilization 31 27 — — $5,751.88 $23,947.85 $23,947.85 2026-03-31
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 380 298 $25,148.30 $22,130.50 $34.05 $24,393.85 $23,890.89 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 18 15 — — $23,121.27 $25,433.40 $23,814.91 2026-03-31
4203 APR_DRG Diabetes 30 27 — — $9,141.07 $23,745.85 $23,745.85 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 15 — — $23,000.03 $25,300.03 $23,690.03 2026-03-31
7753 APR_DRG Alcohol Abuse And Dependence 30 27 — — $9,751.30 $23,558.19 $23,558.19 2026-03-31
6633 APR_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs 30 27 — — $9,593.91 $23,535.09 $23,535.09 2026-03-31
2833 APR_DRG Other Disorders Of The Liver 30 27 — — $19,836.64 $23,483.13 $23,483.13 2026-03-31
37221 CPT Pr Revasc Opn/perc Iliac W Stent 369 290 $24,560.00 $21,612.80 $278.11 $28,244.00 $23,332.00 2026-03-31
4663 APR_DRG Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure 30 27 — — $10,092.44 $23,185.76 $23,185.76 2026-03-31
2342 APR_DRG Appendectomy Without Complex Principal Diagnosis 30 27 — — $10,581.84 $23,148.23 $23,148.23 2026-03-31
4653 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction 30 27 — — $10,363.54 $23,148.23 $23,148.23 2026-03-31
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 380 298 $24,133.80 $21,237.74 $79.00 $23,409.79 $22,927.11 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 15 — — $22,245.76 $24,470.34 $22,913.13 2026-03-31
582 APR_DRG Other Disorders Of Nervous System 30 27 — — $10,099.55 $22,836.43 $22,836.43 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 15 — — $22,132.19 $24,345.41 $22,796.16 2026-03-31
37286 CPT Pr Revsc Evasc Tpvt St Cplx 1st 378 297 $23,931.00 $21,059.28 $4,977.65 $25,355.79 $22,734.45 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 15 — — $22,067.74 $24,274.51 $22,729.77 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 15 — — $22,062.37 $24,268.61 $22,724.24 2026-03-31
7512 APR_DRG Depressive Disorders 30 27 — — $11,896.34 $22,689.19 $22,689.19 2026-03-31
J9223 HCPCS Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted) 380 298 $23,868.50 $21,004.28 $207.13 $23,152.45 $22,675.08 2026-03-31
2282 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 30 27 — — $11,606.32 $22,651.66 $22,651.66 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 378 297 $23,835.00 $20,974.80 $4,957.68 $25,355.79 $22,643.25 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 15 — — $21,953.39 $24,148.73 $22,611.99 2026-03-31
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 378 297 $23,721.00 $20,874.48 $4,933.97 $23,721.00 $22,534.95 2026-03-31
J9022 HCPCS Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 380 298 $23,718.00 $20,871.84 $91.34 $23,006.46 $22,532.10 2026-03-31
1373 APR_DRG Major Respiratory Infections And Inflammations 30 27 — — $9,385.77 $22,475.55 $22,475.55 2026-03-31
8613 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 30 27 — — $8,990.81 $22,458.23 $22,458.23 2026-03-31
C9601 HCPCS Hc Perc Transcath Plct Drug Stnt Add 363 285 $23,594.00 $20,762.72 $4,907.55 $23,594.00 $22,414.30 2026-03-31
92924 CPT Pr Ptca W Cor Angio Sngl Mjr 380 298 $23,469.00 $20,652.72 $416.77 $22,764.93 $22,295.55 2026-03-31
4253 APR_DRG Other Non-hypovolemic Electrolyte Disorders 30 27 — — $5,665.58 $22,285.01 $22,285.01 2026-03-31
2013 APR_DRG Cardiac Arrhythmia And Conduction Disorders 30 27 — — $8,852.73 $22,227.27 $22,227.27 2026-03-31
7733 APR_DRG Opioid Abuse And Dependence 30 27 — — $8,068.89 $22,221.49 $22,221.49 2026-03-31
33208 CPT Pr Ins/rplc Pcmkr Atrial & Vent 380 298 $23,224.00 $20,437.12 $413.35 $22,527.28 $22,062.80 2026-03-31
4633 APR_DRG Kidney And Urinary Tract Infections 30 27 — — $8,312.56 $22,030.95 $22,030.95 2026-03-31
37288 CPT Pr Revsc Evsc Tpvt Athrc Sf 1st 378 297 $23,124.00 $20,349.12 $4,809.79 $25,355.79 $21,967.80 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 378 297 $23,121.00 $20,346.48 $4,809.17 $22,427.37 $21,964.95 2026-03-31
1403 APR_DRG Chronic Obstructive Pulmonary Disease 30 27 — — $8,696.36 $21,964.55 $21,964.55 2026-03-31
8172 APR_DRG Intentional Self-harm And Attempted Suicide 30 27 — — $5,454.39 $21,953.00 $21,953.00 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 378 297 $23,010.70 $20,249.42 $27.36 $23,010.70 $21,860.17 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 12 — — $20,767.12 $22,843.83 $21,805.48 2026-03-31
33206 CPT Pr Ins/rplc Pcmkr Atrial 380 298 $22,911.00 $20,161.68 $367.16 $22,223.67 $21,765.45 2026-03-31
6342 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 30 27 — — $5,220.86 $21,676.32 $21,676.32 2026-03-31
92928 CPT Pr Plc Intracor Stnt Sngl 380 298 $22,745.00 $20,015.60 $411.64 $22,062.65 $21,607.75 2026-03-31
2473 APR_DRG Intestinal Obstruction 30 27 — — $9,153.26 $21,548.81 $21,548.81 2026-03-31
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 380 298 $22,623.10 $19,908.33 $24.00 $21,944.41 $21,491.95 2026-03-31
C9603 HCPCS Hc Perc Translum Ather Wangio Ea Add 363 285 $22,591.00 $19,880.08 $4,698.93 $22,591.00 $21,461.45 2026-03-31
92937 CPT Pr Perc Revasc Trans Cor Sngl Vesl 380 298 $22,414.00 $19,724.32 $464.83 $21,741.58 $21,293.30 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 380 298 $22,332.00 $19,652.16 $301.19 $26,642.22 $21,215.40 2026-03-31
533 APR_DRG Seizure 30 27 — — $10,264.04 $21,147.52 $21,147.52 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 12 — — $20,097.24 $22,106.96 $21,102.10 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 15 — — $20,473.23 $22,520.55 $21,087.43 2026-03-31
62362 CPT Pr Impl For Infusion Program Pump 18 15 — — $346.40 $24,930.08 $21,066.52 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 18 15 — — $20,436.39 $22,480.03 $21,049.48 2026-03-31
37271 CPT Pr Revsc Evsc Fpvt Athrc Sf 1st 378 297 $22,137.00 $19,480.56 $4,604.50 $25,355.79 $21,030.15 2026-03-31
792 MS_DRG Prematurity Without Major Problems 15 12 — — $19,769.60 $21,746.56 $20,758.08 2026-03-31
1342 APR_DRG Pulmonary Embolism 30 27 — — $7,266.76 $20,702.91 $20,702.91 2026-03-31
1393 APR_DRG Other Pneumonia 30 27 — — $9,407.09 $20,676.93 $20,676.93 2026-03-31
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 743 297 $36,798.40 $32,382.59 $184.07 $36,798.40 $20,665.07 2026-03-31
37228 CPT Pr Revasc Tib/pero W Angplst Unilat 369 290 $21,704.00 $19,099.52 $346.73 $24,959.60 $20,618.80 2026-03-31
2493 APR_DRG Other Gastroenteritis, Nausea And Vomiting 30 27 — — $8,366.38 $20,573.00 $20,573.00 2026-03-31
28705 CPT Fusion Of All Bones Of Ankle And Hindfoot 18 15 — — $2,086.64 $24,252.27 $20,493.76 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 15 — — $19,840.95 $21,825.05 $20,436.18 2026-03-31
37242 CPT Pr Vasc Embl/occlude Arterial 380 298 $21,494.00 $18,914.72 $380.00 $25,355.79 $20,419.30 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 378 297 $21,493.00 $18,913.84 $4,470.54 $21,493.00 $20,418.35 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 18 15 — — $19,814.87 $21,796.36 $20,409.32 2026-03-31
3472 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 30 27 — — $7,798.80 $20,353.58 $20,353.58 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 12 — — $19,370.59 $21,307.65 $20,339.12 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 18 15 — — $19,731.23 $21,704.35 $20,323.17 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 15 12 — — $19,352.93 $21,288.22 $20,320.58 2026-03-31
7522 APR_DRG Personality Disorders 30 27 — — $11,292.48 $20,243.88 $20,243.88 2026-03-31
36905 CPT Pr Av Fistula Pta Thrombectomy 378 297 $21,290.00 $18,735.20 $3,343.49 $20,651.30 $20,225.50 2026-03-31
92943 CPT Pr Perc Revasc Trans Chr Sngl Vesl 380 298 $21,248.00 $18,698.24 $563.02 $20,610.56 $20,185.60 2026-03-31
36903 CPT Pr Av Fistula Stent 378 297 $21,239.00 $18,690.32 $4,417.71 $20,601.83 $20,177.05 2026-03-31
J9303 HCPCS Panitumumab 20 Mg/ml Intravenous Solution (wrapper) 380 298 $21,220.40 $18,673.95 $173.03 $20,583.79 $20,159.38 2026-03-31
36906 CPT Pr Av Fistula Stent Thrombectomy 378 297 $21,146.00 $18,608.48 $4,398.37 $25,355.79 $20,088.70 2026-03-31
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted) 378 297 $21,058.30 $18,531.30 $188.76 $21,058.30 $20,005.39 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 15 — — $19,287.71 $21,216.48 $19,866.34 2026-03-31
37225 CPT Pr Revasc Fem/pop W Athrc/angplst 369 290 $20,831.00 $18,331.28 $384.77 $23,955.65 $19,789.45 2026-03-31
7762 APR_DRG Other Drug Abuse And Dependence 30 27 — — $4,346.66 $19,640.49 $19,640.49 2026-03-31
37241 CPT Pr Vasc Embl/occlude Venous 380 298 $20,631.00 $18,155.28 $342.49 $20,012.07 $19,599.45 2026-03-31
92929 CPT Hc Plc Intracor Stnt Ea Add 367 289 $20,621.00 $18,146.48 $4,289.17 $20,621.00 $19,589.95 2026-03-31
452 APR_DRG Cva And Precerebral Occlusion With Infarction 30 27 — — $9,478.17 $19,559.65 $19,559.65 2026-03-31
37258 CPT Pr Revsc Evasc Ivt Stent Sf 1st 378 297 $20,526.00 $18,062.88 $4,269.41 $19,910.22 $19,499.70 2026-03-31
5392 APR_DRG Cesarean Section With Sterilization 30 27 — — $7,236.31 $19,395.09 $19,395.09 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 15 — — $18,820.42 $20,702.46 $19,385.03 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 15 — — $18,802.00 $20,682.20 $19,366.06 2026-03-31
6942 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 30 27 — — $7,958.21 $19,360.44 $19,360.44 2026-03-31
1391 APR_DRG Other Pneumonia 30 27 — — $4,785.29 $19,244.03 $19,244.03 2026-03-31
482 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 30 27 — — $7,380.49 $19,236.30 $19,236.30 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 383 298 $20,226.50 $17,799.32 $172.22 $19,619.71 $19,215.18 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 15 — — $18,514.25 $20,365.68 $19,069.68 2026-03-31
1942 APR_DRG Heart Failure 30 27 — — $7,030.19 $19,022.66 $19,022.66 2026-03-31
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 378 297 $20,018.00 $17,615.84 $84.57 $20,018.00 $19,017.10 2026-03-31
1993 APR_DRG Hypertension 30 27 — — $9,020.26 $19,011.11 $19,011.11 2026-03-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 15 — — $18,409.12 $20,250.03 $18,961.39 2026-03-31
3422 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 30 27 — — $6,798.70 $18,676.22 $18,676.22 2026-03-31
3412 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 30 27 — — $6,798.70 $18,676.22 $18,676.22 2026-03-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 378 297 $19,572.30 $17,223.62 $69.49 $19,572.30 $18,593.69 2026-03-31
1372 APR_DRG Major Respiratory Infections And Inflammations 30 27 — — $6,603.75 $18,580.94 $18,580.94 2026-03-31
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